I have read and enjoyed the Eddings's fantasy books and this is very different in a lot of ways. At first the book drew me in, the authors do have an engaging style that is easy to connect with. However there were a few things that irked me. Firstly, the Eddings clichés: If I read one more Eddings character say "be nice" as a joking reprimand I think I shall scream! By the end of the book, every one of the little clichés they use threw me right out of connection with the story.
Secondly the male/female dynamic is, as always in their books, simplistic. The women of the household do all the cooking and even wait on the men, serving the narrator up coffee whenever he walks in the room. The men do all the handy work like laying floors and painting. I like cooking, I admit, but I also like doing things like building shelves and I do have problems with the typical stereotypes that the authors use - they could get away with it in their fantasy novels in a medieval-type society - but this is supposed to be modern day and it just doesn't ring true.
My final gripe is to do with the supernatural elements shoehorned into the novel's resolution. They really felt out of place. While I like reading and writing speculative fiction, this book doesn't really belong in that genre and it felt very much that they introduced those elements merely to pull themselves into familiar ground. It's unfortunate because the book would have been better without.
While many of the other aspects of the book (the handling of the doctor/patient relationship and the behaviour of the police officers as two examples) may be unrealistic, they don't mar the story. This could have been an interesting exploration into the mind and relationships of a very disturbed individual. The potential was there. However in the end I felt let down, cheated out of the resolution that the book deserved. The Eddings, sad to say, just can't do emotional depth, or at least they can't do it well.